Undereye Volume Loss
Why Hollow Eyes Happen — and Why Filler Alone Isn’t Enough
Dark, sunken, or tired-looking eyes are one of the top concerns we hear about at POUTx. But here’s what most people — and many injectors — get wrong:
The problem isn’t just your under-eyes. It’s your foundation.
Undereye volume loss is rarely an isolated issue. It’s almost always the result of deeper structural aging across the midface and fat pads — and unless you treat it strategically, you’re setting yourself up for puffy, lumpy, or blue-tinted filler that makes things worse.
What Causes Undereye Volume Loss?
Your eyes don’t age in a vacuum. The hollowing, shadowing, and tired appearance come from a chain reaction:
1. Fat Pad Depletion
As you age, the fat pads in your cheeks, temples, and midface begin to shrink and shift downward. This removes the soft support underneath the eye, making the area appear sunken or hollow.
2. Bone Resorption
The bones of your eye socket and midface also begin to recede with age. Less bone means less structural projection — which causes the under-eye to appear deeper and darker.
3. Skin Thinning & Laxity
Thinner skin + less support = creasing, folding, and a tired appearance — even if you’re sleeping great.
The Foundation Analogy: Don’t Just Patch the Roof
Imagine a house with a failing foundation. The walls start to shift, the frame loses support, and the roof begins to cave in.
What happens if you only fix the roof?
Nothing. It caves again.
That’s what happens when you inject filler only into the under-eye without rebuilding the support underneath.
To correct undereye volume loss properly, we need to:
Rebuild the midface and cheek structure
Address fat pad loss and structural support
Then refine the under-eye with filler — if needed — and at the right depth
The Problem With Bad Undereye Filler
You've probably seen it:
Puffy, doughy under-eyes
Blue or gray tint (Tyndall effect)
Lumps that move or don’t blend
Faces that somehow look worse after filler
This happens when filler is injected too superficially, without strategy, and without correcting the rest of the face first.
That’s why at POUTx, undereye filler is never step one. It’s often step three or four in a fully sequenced plan.
Our Approach to Undereye Rejuvenation
Using our FierceFACE™ Balancing method, we:
Assess the face holistically, not in pieces
Rebuild volume in the midface and lateral cheek first
Use high-safety protocols for vascular mapping and depth control
Only place filler in the under-eye when structure supports it
Choose the right product, dose, and angle to avoid migration or puffiness
You’ll never be rushed into a tear trough treatment at POUTx. We treat the why, not just the what.
What a Treatment Plan May Include
Your under-eye volume loss plan may involve:
Midface restoration (deep cheek support)
Lateral structure for support
Conservative under-eye filler (only when appropriate)
ARCHITOX™ to soften contributing muscle movement
We plan. We phase. We don’t guess.
Real Client Wins
"I went to other clinics and was told I needed under-eye filler. But it looked worse every time. POUTx explained it was because my midface was flat. We dissolved and after rebuilding that first, my eyes look smoother, brighter, and totally natural — no puffiness, no lumps."
— Maya S., Age 28, FierceFACE™ Client
Book a Consult to Treat Undereye Hollowing the Right Way
Don’t let one area ruin your entire result. If your eyes look tired or hollow, we’ll show you how to lift and restore them strategically — without puffiness, distortion, or surface-level fixes.
Book your consult and let’s rebuild from the foundation up.
